Doctor Name: | MRS. GWENDOLYN CARMEL |
NPI Number: | 1003045212 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RVT |
License Number: | |
Business Practice Address: | 385 Tremont Ave 112 East Orange, NJ - 070181023 |
Business Phone Number: | 9736761000 |
Business Fax Number: | 9733957193 |
Mailing Address: | 385 Tremont Ave, 112 EAST ORANGE |
State: | NJ |
Postal Code: | 070181023 |
Phone Number: | 9736761000 |
Fax Number: | 9733957193 |
NPI Enumeration Date: | 07/09/2009 |
NPI Last Update Date: | 07/09/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246XC2903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Cardiovascular |
Taxonomy Specialization: | Vascular Specialist |
Taxonomy Definition: |